Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $671.11 / $3,596.00 / $10,836.00	Facility		$671.11	$3,596.00	$10,836.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $494.26 / $564.49 / $679.38	Professional		$494.26	$564.49	$679.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $457.33 / $581.04 / $794.23	Professional		$457.33	$581.04	$794.23
Christus Facility/Professional Facility Modifier Low / Median / High Price $461.77 / $461.77 / $461.77	Facility		$461.77	$461.77	$461.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $520.33 / $710.00 / $1,166.89	Professional		$520.33	$710.00	$1,166.89
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $8,938.87	Facility		$55.00	$55.00	$8,938.87
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,516.88 / $3,603.36 / $4,259.70	Professional		$3,516.88	$3,603.36	$4,259.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $479.43 / $592.99 / $1,147.58	Facility		$479.43	$592.99	$1,147.58
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $629.50 / $726.35 / $847.40	Professional		$629.50	$726.35	$847.40
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $462.23 / $551.36 / $840.75	Professional		$462.23	$551.36	$840.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $479.43 / $592.99 / $1,283.72	Facility		$479.43	$592.99	$1,283.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $518.75 / $725.06 / $1,273.53	Professional		$518.75	$725.06	$1,273.53
United Facility/Professional Facility Modifier Low / Median / High Price $385.00 / $2,064.00 / $8,759.00	Facility		$385.00	$2,064.00	$8,759.00
United Facility/Professional Professional Modifier Low / Median / High Price $432.09 / $591.51 / $914.16	Professional		$432.09	$591.51	$914.16
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $413.28 / $474.39 / $647.23	Professional		$413.28	$474.39	$647.23